Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 13- Physical Assessment
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is performing a part of a physical assessment for a client using palpation. What is the purpose of using this technique? | |
| A) | To assess the sounds from the heart, lungs, and abdomen | |
| B) | To determine the density of underlying structures | |
| C) | To check the skin temperature and moisture | |
| D) | To observe specific parts for normal or abnormal characteristics | |
| Ans: | C | |
| Feedback: | ||
| The nurse uses the palpation technique to obtain information about the skin temperature and moisture. The percussion technique is used to determine the location, size, and density of the underlying structure as per the quality of sound produced by the tapping. The auscultation technique is used to listen to the sound of the heart, lungs, and abdomen. The inspection technique is used to observe specific parts for normal or abnormal characteristics. | ||
| 2. | A nurse is caring for a client with complaints of lower back pain. The nurse uses the body systems approach to assess the client. What are the advantages of using this approach for data collection? | |
| A) | Makes problems more easily identifiable as findings tend to be clustered. | |
| B) | Prevents overlooking certain aspects of data collection. | |
| C) | Reduces the number of position changes required of the client. | |
| D) | Takes less time, as the nurse is not constantly moving around the client. | |
| Ans: | A | |
| Feedback: | ||
| The body systems approach makes problems more easily identifiable, as findings tend to be clustered. The head-to-toe approach to client assessment prevents the nurse from overlooking certain aspects of data collection, reduces the number of position changes required of the client, and takes less time. | ||
| 3. | A nurse is conducting a mental status assessment for a client admitted to a health care facility. Under which conditions would the nurse need to collect the greatest proportion of objective assessment data? | |
| A) | When the client has visible wounds | |
| B) | When the client pays attention to the nurse’s instruction | |
| C) | When the client has taken an overdose of drugs | |
| D) | When the client has an active infection | |
| Ans: | C | |
| Feedback: | ||
| The nurse would need to collect more objective assessment data if the client had taken an overdose of drugs. However, objective assessment data would not be required if the client has wounds, can pay attention to the nurse’s instruction or has an infection; none of these conditions compromises the client’s ability to provide useful subjective data. | ||
| 4. | A nurse is assessing a client who seems to have developed a hearing impairment after working at a construction site for a few months. The nurse is using the Weber test to assess the client’s hearing acuity. The Weber test does which of the following? | |
| A) | Compares air versus bone conduction of sound | |
| B) | Measures hearing acuity at various sound frequencies | |
| C) | Tests air conduction of sound in the tested ear | |
| D) | Determines the equality or disparity of bone-conducted sound | |
| Ans: | D | |
| Feedback: | ||
| The Weber test helps to determine the equality or disparity of bone-conducted sound. The Rinne test compares the air versus bone conduction of sound and tests air conduction of sound in the tested ear. Audiometry measures hearing acuity at different sound frequencies. | ||
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